Had my appointment today-
Without going int all the details and tests... The doctor was very concerned about my metabolic situation. He said that I was basically diabetic and at risk for heart attack/stroke...... All because of the weight. He wants me to do 45 minutes aerobic and 30 minutes weight training. He wants me to have 1200 calories a day until some breakthrough with the weight.
160 mg testosterone cypionate injection every week. He gave me my first shot.
DHEA 50 mg twice a day
Zinc Citrate 50 mg daily
Alpha lipoid acid 400 mg daily
Cholecalciferol vitamin D3 2,00 unit -3 tablets a day for a week then drop to 2 for 3 weeks then drop to 1 daily.
Anastrazole 1 mg - take 1/3rd tablet three times a week
I'm on my way -- what do you think about his prescriptions?
First of all, I think your doc's general advice is very good and it sounds like you have a good doc overall. However, I do have a comments:
--ALA has a pretty short half life (3 hours) and, therefore, is usually taken 2-3 X/day. See this study for example:http://www.hormones.gr/~osenia62/pdf/Improvement%20of%20insulin%20sensitivity.pdf
"Improvement of insulin sensitivity in patients
with type 2 diabetes mellitus after oral administration
of alpha-lipoic acid"
Here is some good info from Dr. Weil for example:http://www.drweil.com/drw/u/ART03051/AlphaLipoic-Acid-ALA.html
--I don't like that much zinc myself. I am concerned about potential neurotoxicity. It does have great properties though when it comes to testosterone and estradiol:http://www.peaktestosterone.com/zinc_zma
--That's a beefy dose of DHEA, depending on who you talk to. Shames, for example, likes to give 5-10 mg/day.
--I doubt he wants you to do 30 minutes of weigh training per day, right?
Yes, your triglycerides were VERY high. Just to give you an idea: I eat a LOT of carbs and mine are about a third of yours. The standard guidelines for triglycerides is 150, but I think it is better to be below 100. High triglycerides will hammer your arteries and are a sign of Metabolic Syndrome (prediabetes).
What you want to do is eat LOW GLYCEMIC carbs, regardless of what dietary plan you choose. You will be very sensitive to high glycemic carbs and these are largely responsible for your elevated triglycerides.
Also, please discuss with your doc before making any changes to his plan.